Alexandria Manor - Bloomfield Nursing Home
General Information
UPDATEFederal Provider Number
75291
Provider Name
ALEXANDRIA MANOR
Provider Address
55 TUNXIS AVE
BLOOMFIELD, CT 6002
BLOOMFIELD, CT 6002
Provider Phone Number
(860) 242-0703
Provider SSA County
10
Provider County Name
Hartford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEALTH CARE INVESTORS, INC. D/B/A/ ALEXANDRIA MANOR
Date First Approved to Provide Medicare and Medicaid services
1979-10-28
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36553
Reported LPN Staffing Hours per Resident per Day
0.76650
Reported RN Staffing Hours per Resident per Day
0.81553
Reported Licensed Staffing Hours per Resident per Day
1.58204
Reported Total Nurse Staffing Hours per Resident per Day
3.94756
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05194
Expected CNA Staffing Hours per Resident per Day
2.27222
Expected LPN Staffing Hours per Resident per Day
0.61644
Expected RN Staffing Hours per Resident per Day
0.93933
Expected Total Nurse Staffing Hours per Resident per Day
3.82799
Adjusted CNA Staffing Hours per Resident per Day
2.55446
Adjusted LPN Staffing Hours per Resident per Day
1.03204
Adjusted RN Staffing Hours per Resident per Day
0.64872
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15681
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-01-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-01-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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